Active NPI
Andria D Johnson, P.T.A.
- Physical Therapy Assistant
- Norman, OK
National Provider Identifier
1437608254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1221
- Practice address
- 724 24TH Ave NW Ste 100
Norman, OK 73069-6214 - Phone
- (405) 447-1571
- Fax
- (405) 447-1579
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1221 | OK | Primary |
Addresses
Primary practice location
724 24TH Ave NW Ste 100
Norman, OK 73069-6214
Mailing address
620 SW 157TH St
Oklahoma City, OK 73170-7685
Phone (405) 831-6816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1221 | OK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1437608254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 SW 157TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731707685",
"telephone_number": "405-831-6816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 24TH AVE NW STE 100",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696214",
"telephone_number": "405-447-1571",
"fax_number": "405-447-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANDRIA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "1221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.